Individual
MRS. ALICE CROWLEY FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1624 PRINCESS ST, WILMINGTON, NC 28401-3848
(910) 251-8174
(910) 341-3037
Mailing address
300 PEMBERTON DR, WILMINGTON, NC 28412-7131
(910) 251-8174
(910) 341-3037
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1731
NC
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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